Der plötzliche Tod aus natürlicher Ursache

Janssen, W H; Naeve, W

doi:10.1007/978-3-642-66006-1_8

Cited by 20 publications

(3 citation statements)

References 72 publications

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“…In cases of sudden unexpected death, the cause of death remains uncertain in 1-3% even if a thorough postmortem including comprehensive histological, toxicological and microbiological investigations is performed (Janssen and Naeve 1975). This percentage rises significantly to 5-10% in chronic alcoholics (Clark 1988;Hanssen and Simonsen 1991) even if detailed morphometric investigations are carried out (e.g.…”

Section: Introductionmentioning

confidence: 98%

Ketoacidosis and lactic acidosis - frequent causes of death in chronic alcoholics?

Brinkmann

Fechner

Karger

et al. 1998

International Journal of Legal Medicine

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In clinical medicine, severe keto- or lactic acidosis associated with vomiting, nausea, abdominal pain, tachycardia or pathological respiration, has been described in chronic alcoholics. This study reports on fatalities of chronic alcoholics where the cause of death could not be determined by thorough autopsy, histology and toxicology including determination of alcohol concentration. In a first series, acetone was determined in the blood of such chronic alcoholics (n = 24), diabetics with metabolic decompensation (n = 7), cases of hypothermia (n = 7) and controls (n = 218). Among the 24 chronic alcoholics where the cause of death was unknown, 9 cases showed very high levels of acetone (74-400 mg/l). These comprised 6 cases without additional findings and 3 cases where a second patho-mechanism such as intoxication possibly contributed to the cause of death. In a second series, the sum values according to Traub (lactate/glucose) were determined in cerebrospinal liquor of chronic alcoholics with undetermined cause of death (n = 45), diabetics (n = 6) and controls (n = 39). Among the 45 alcoholics, 17 cases showed very high sum values (294-594 mg/dl) including 8 cases where non-lethal intoxications may have contributed to the final outcome. Other causes of a ketoacidosis or lactic acidosis (e.g. diabetes) were excluded in both groups of alcoholics. Consequently, ketoacidosis and lactic acidosis can be the cause of death of chronic alcoholics in a considerable number of cases where no pathomorphological or toxicological changes are present. A scheme for medical and laboratory examination is described.

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Section: Introductionmentioning

confidence: 98%

Ketoacidosis and lactic acidosis - frequent causes of death in chronic alcoholics?

Brinkmann

Fechner

Karger

et al. 1998

International Journal of Legal Medicine

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“…Der prim~ire Tracheatumor kommt sehr selten vor, er bilde etwa 0,1% aller malignen Tumoren [6,7]. Am hgufigsten finden sich ausgereifte Karzinome der Tonsillen-Umgebung; einengende Papillome des Larynx und der Trachea wurden hin und wieder beschrieben [2, 5,8]. Am hgufigsten finden sich ausgereifte Karzinome der Tonsillen-Umgebung; einengende Papillome des Larynx und der Trachea wurden hin und wieder beschrieben [2, 5,8].…”

Section: Diskussionunclassified

Pl�tzlicher Tod bei Larynxtumor

Krajcsovics

Balogh

1981

Z Rechtsmed

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“…Death in patients with severe polytrauma, but also in those hospitalized during the trial period was defined in clinical, but not in pathoanatomical terms [51] since consent of the relatives to perform an autopsy could not be expected in most of the patients. Survival was tested tiI discharge from the surgical clinic or from any other university hospital if the patients at any time after the two weeks treatment in our ctinic had to be transfered to them owing to a direct consequence of their accident.…”

Section: Groups Treated By Cimetidine and Regimen Of Drug Administratmentioning

confidence: 99%

Histamine and stress ulcer: New components in organizing a sequential trial on cimetidine prophylaxis in seriously Ill patients and definition of a special group at risk (severe polytrauma)

et al. 1980

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Der plötzliche Tod aus natürlicher Ursache

Cited by 20 publications

References 72 publications

Ketoacidosis and lactic acidosis - frequent causes of death in chronic alcoholics?

Ketoacidosis and lactic acidosis - frequent causes of death in chronic alcoholics?

Pl�tzlicher Tod bei Larynxtumor

Histamine and stress ulcer: New components in organizing a sequential trial on cimetidine prophylaxis in seriously Ill patients and definition of a special group at risk (severe polytrauma)

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